Comparison of a fall risk assessment tool with nurses' judgement alone:a cluster-randomised controlled trial

Link:
Autor/in:
Erscheinungsjahr:
2009
Medientyp:
Text
Schlagworte:
  • Risk
  • Patients
  • Inpatient falls
  • Stroke
  • Gait
  • Rehabilitation
  • Risk assessment
  • Randomised controlled trial
  • Nursing assessment
  • Elderly
  • Residential facilities
  • Accidental falls/prevention and control
  • Risk
  • Patients
  • Inpatient falls
  • Stroke
  • Gait
  • Rehabilitation
Beschreibung:
  • Background: The impact of fall risk assessment tools on clinical endpoints is unknown. Objective: We compared a standardised fall risk assessment tool alongside nurses' clinical judgement with nurses' judgement alone. Design: A 12-month cluster-randomised controlled trial. Setting: Nursing homes in Hamburg (29 per study group). Subjects: 1,125 residents (n = 574 intervention group, IG; n = 551 control group, CG). Interventions: All homes received structured information on fall prevention before randomisation. The IG monthly administered the Downton Index, and the CG did not use a tool. Measurements were number of participants with at least one fall, falls, fall-related injuries and medical attention, fall preventive measures, physical restraints. Results: The mean follow-up was 10.8 ± 2.9 months in both groups: 105 (IG) and 114 (CG) residents died or moved away. There was no difference between the groups concerning the number of residents with at least one fall (IG: 52%, CG: 53%, mean difference -0.7, 95% confidence interval -10.3 to 8.9, P = 0.88) and the number of falls (n = 1,016 and n = 1,014). All other outcomes were also comparable between the IG and CG. Conclusions: Application of a fall risk assessment tool in nursing homes does not result in the better clinical outcome than reliance on nurses' clinical judgement alone. © The Author 2009. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.
Lizenz:
  • info:eu-repo/semantics/openAccess
Quellsystem:
Forschungsinformationssystem der UHH
Interne Metadaten
Quelldatensatz
oai:www.edit.fis.uni-hamburg.de:publications/9933fbc1-3e1a-48ed-bad6-ef4de1424735